Active NPI
Robert Stump, M.D.
- Anesthesiology Physician
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G46401
- Practice address
- 2626 N California St
Suite G
Stockton, CA 95204-5500 - Phone
- (209) 464-9846
- Fax
- (209) 464-4082
- NPI assigned
- Jul 7, 2006
- Last updated
- Oct 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G46401 | CA | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | G46401 | CA |
Addresses
Primary practice location
2626 N California St
Suite G
Stockton, CA 95204-5500
Mailing address
2626 N California St
Suite G
Stockton, CA 95204-5500
Phone (209) 464-9846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G464010 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Loma Linda University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Glasson Way
Grass Valley, CA 95945-5723
Phone (530) 274-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G46401 | CA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Port City Operating Company, LLC | Past | Accepting new patients | |
| Sierra Nevada Memorial-Miners Hospital | Past | Accepting new patients | |
| Lodi Memorial Hospital Association Inc | Past | Accepting new patients | |
| Delta Radiology, Inc. | Past | Accepting new patients |
Locations
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000
521 S Ham Ln
Lodi, CA 95242
Phone (209) 333-0905
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125
4001 J St
Sacramento, CA 95819
Phone (916) 453-4037
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
1805 N California St
Ste 405
Stockton, CA 95204
Phone (209) 870-7100
2388 N California St
Stockton, CA 95204
Phone (209) 465-2711
36 W Yokuts Ave
Ste 3
Stockton, CA 95207
Phone (209) 952-1189
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Specialist
- Lodi, CA
- NPI 1881728327
-
dba Lodi Memorial Hospital Acute Physical Rehabilitation Unit
- Rehabilitation Hospital Unit
- Lodi, CA
- NPI 1821028671
-
dba St. Joseph's Medical Center of Stockton
- General Acute Care Hospital
- Stockton, CA
- NPI 1528190931
-
dba Sierra Nevada Memorial Hospital
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lodi Memorial Hospital
- General Acute Care Hospital
- Lodi, CA
- NPI 1316938301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1225060510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 N CALIFORNIA ST",
"address_2": "SUITE G",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045500",
"telephone_number": "209-464-9846",
"fax_number": "209-464-4082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 N CALIFORNIA ST",
"address_2": "SUITE G",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045500",
"telephone_number": "209-464-9846",
"fax_number": "209-464-4082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUMP",
"first_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G46401",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "G46401",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G464010",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.